{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:01:50Z","timestamp":1791255710204,"version":"4.1.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,1,7]],"date-time":"2022-01-07T00:00:00Z","timestamp":1641513600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Reasonable functional outcomes for nonoperative management of isolated, closed fifth metacarpal neck fractures with up to 70\u00b0 angulation have been reported; however, reported outcomes for fractures with greater than 70\u00b0 angulation are limited. This study describes clinical outcomes of nonsurgically treated fifth metacarpal neck fractures with angulation of greater than 70\u00b0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of patients treated between May 1, 2016, and May 1, 2020, included: (1) patients aged 18 years and above with an isolated, closed, fifth metacarpal neck fracture; (2) nonsurgical treatment; (3) healed fractures with angulation greater than 70\u00b0 measured on oblique radiographs; and (4) minimum 6-month follow-up after injury. Photographic hand motion and patient-rated outcomes (Functional Hand Scale, Quick Disabilities of the Arm, Shoulder, and Hand [QuickDASH], 12-item Short-Form Health Survey [SF-12]) were collected and reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 364 fractures were identified; 11% (40\/364) demonstrated angulation of greater than 70\u00b0 (range: 71\u00b0-82\u00b0); and 15 patients (inclusion rate: 38%, 15\/40) with mean fracture angulation of 73\u00b0 (range: 71\u00b0-77\u00b0) participated in the study. Mean follow-up was 32 months (range: 8-120 months), the dominant hand was injured in 87% (13\/15) of patients, and 47% (7\/15) of patients worked in manual labor. All patients scored the highest rating of \u201cvery good\u201d (range: 26-30 of 30 points) on the functional hand scale. A QuickDASH score of zero (no morbidity) was reported in 80% (12\/15) of patients. About 87% (13\/15) of patients had average or above-average scores on the SF-12 (mean = 109, range: 84-115).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patients with healed, isolated, closed fifth metacarpal neck malunions with severe angulation greater than 70\u00b0 demonstrated acceptable functional outcomes based on patient-rated outcomes scoring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447211063238","type":"journal-article","created":{"date-parts":[[2022,1,7]],"date-time":"2022-01-07T04:15:28Z","timestamp":1641528928000},"page":"604-611","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Clinical Outcomes of Severely Angulated Fifth Metacarpal Neck Fractures Treated Nonsurgically"],"prefix":"10.1177","volume":"18","author":[{"given":"Thomas J.","family":"France","sequence":"first","affiliation":[{"name":"University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fraser J.","family":"Leversedge","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5889-0558","authenticated-orcid":false,"given":"Alexander","family":"Lauder","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine, Aurora, CO, USA"},{"name":"Denver Health Medical Center, Denver, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,1,7]]},"reference":[{"key":"bibr1-15589447211063238","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20160315-05"},{"key":"bibr2-15589447211063238","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSE.2007.07.011"},{"key":"bibr3-15589447211063238","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-015-2361-0"},{"issue":"1","key":"bibr4-15589447211063238","first-page":"57","volume":"88","author":"Pogliacomi F","year":"2017","journal-title":"Acta 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